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exhibit At <br />REQUIRED SUBMITTALS <br />AH Ilf clit Ibltowln <br />Jo' <br />^d*r far <br />1. <br />'2. <br />O , pK^K/\ <br />CXppK,^M <br />Completed Application Forrn <br />iCertiJ------- <br />imltlgd hv ||^>m d—dllng lilit* <br />^VOUCAX i <br />1-^ d SLu' <br />ha aBnllcatioirioB daadllna dF^| In <br />.3. <br />Ccv n6cxv^\Vjs«X ll- for <br />t—> 6. <br />L.>7. <br />8. <br />calculations as required. In addiUon, pro>ide one (1) cop-/ 8'4 <br />reproduction- C^/dJ tC iLc <br />---- To^graphlc survey (existing and proposed el^tionsMf any changes in existing <br />, J;******^^^'provide one (I)c(^8Vi-xn'for repro^ <br />Sketchy or plau of floor d: elevation vieu-s (provide one (I) copy 84* x II"). v a, <br />— List of the legal names (Include marital stanis) of all persons 'vith an interest in ^ <br />the prop^. This would include name(s) of applicant(s) if not current ownei(s). <br />As an addendum to this application, please attach a separate list of any odier <br />persons you wish notified of this application. rUA? <br />Additional items as may be requested by City stafiF <br />C* <br />ITie AppUcartf and Property Owner must sign this appUcadon. Please remember that Mar <br />Mflancf aDDllCttion is not complete if the above informatimi hai rnn lnclud»d. <br />APPLICANT’S SIGNATURE <br />^ appUcant hemby agrees to provide all information required or requested by the Zoning <br />Administrator, agrees to pay additional fees (staff time cot covered by ori|iial fee payment) <br />and/or consultant expenses incurred in review of this application, and certifies that the <br />Information supplirfb^ and copact to ihe^best of hivlrer knowledge. <br />AppUcanfs Sign^ir^^^^ <br />OWNXR’S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorizes reaiOBhble <br />entry onto the property by City staff; consultants, agents. Commission members, and Council <br />members for purposes of investigation and verification of this request. <br />i—> Owner's Signature . , ^-L f f Date lyUS'/r ? <br />Applicant must have all submittals into the Cii>- ofTiccs 25 days bc.'ore the Planning <br />Commission Meeting. Planning Commission Meetings are held on the thiri Monday of each <br />month. Applicants must be present at all scheduled review mceliogs of the Planning <br />Commission and CouncIL If an applicant is unable to attend a scheduled meeting, please <br />make arrangements to have an authorized agent attend in your place and to odvise the Building <br />ft Zoning Office of this change prior to the meeting. <br />SOZ-i 118/100 4 isr-i fiirirzzss^ <br />#29 8 , <br />ON080 iO MC0:|0 l03Z>rC-tiO